Individual provider · Type 1 NPI
Jeremy Shawn Mirabile, M.D. ABPM-ADM, FASAM
Addiction Medicine (Family Medicine) Physician · Ponte Vedra Beach, FL
NPI number
1295749968
Active
Practice location
1030 A1A N
Ponte Vedra Beach, FL 32082-4019
Fax (888) 770-4284
Other practice locations
- 6100 Greenland Rd, Suite 201, Jacksonville, FL 32258 · (904) 551-1394
- 1106 A1A N Ste 201A, Ponte Vedra Beach, FL 32082-4097 · (904) 551-1394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | ME88707 (FL) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
6 other providers at this address
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- Ponte Vedra Beach Surgery Center LLCAmbulatory Surgical Clinic/Center Ponte Vedra Beach, FL NPI 1093077257
- Recovery Keys, IncSubstance Abuse Rehabilitation Facility Ponte Vedra Beach, FL NPI 1548031867
- Surgery Center of Ponte Vedra Beach LLCAmbulatory Surgical Clinic/Center Ponte Vedra Beach, FL NPI 1154741189
- Surgical Center of Ponte Vedra Beach LLCAmbulatory Surgical Clinic/Center Ponte Vedra Beach, FL NPI 1609269232
- Surgical Center of Ponte Vedra Beach, LLCAmbulatory Surgical Clinic/Center Ponte Vedra Beach, FL NPI 1497159255
About NPI 1295749968
Jeremy Shawn Mirabile, M.D. ABPM-ADM, FASAM's National Provider Identifier is 1295749968, issued on Jul 28, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Aug 30, 2024.